Unknown Individual – Specialist, NPI 1558442822

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in Specialist. They hold a License No. 1233 (NV). The NPI Number for Unknown Individual is 1558442822

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1558442822
Phone
(775) 788-5599
Address
15 MCCABE DR STE 101
Deactivation Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757885599
Graduation Year
1997 (29 years ago)
PAC ID
0840476164
Group Practice PAC ID
9436103249
Professional Enrollment ID
I20110520000095
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 15 MCCABE DR STE 101

    RENO, NV 895114815

    Phone: (775) 788-5599

    Fax: (775) 788-5598

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,811106$0
97140Therapy procedure using manual technique, each 15 minutes1,125100$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42266$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care35056$0
97161Evaluation for physical therapy, typically 20 minutes8176$0
View full utilization report →

Insurance plans in this area (ZIP 89511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436103249View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
-NV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1558442822.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Other Service Providers. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Reno, Nevada may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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